Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blair Allen Broussard

Individual provider Behavior Technician · NPI 1871338061

Blair Allen Broussard is a Behavior Technician in Douglasville, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

4539 Cabinwood Turn
Douglasville, GA 30135-1959
Phone: (470) 832-0704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (GA)

Record details

NPI number1871338061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

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